Individual
KARA DA COSTA WAZIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 MEDICAL DR STE A100, BOUNTIFUL, UT 84010-4995
(801) 683-1062
Mailing address
415 MEDICAL DR STE A100, BOUNTIFUL, UT 84010-4995
(801) 683-1062
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R414-1
—
UT
Enumeration date
12/05/2018
Last updated
07/20/2026
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